Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.32 / $3,419.00 / $6,446.00	Facility		$1,138.32	$3,419.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.09 / $357.24 / $1,083.17	Professional		$166.09	$357.24	$1,083.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.51 / $466.49 / $1,057.63	Professional		$320.51	$466.49	$1,057.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $440.83 / $945.16	Professional		$156.19	$440.83	$945.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $366.32 / $775.80 / $5,260.89	Facility		$366.32	$775.80	$5,260.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $391.13 / $775.80 / $1,469.27	Professional		$391.13	$775.80	$1,469.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $368.48 / $775.80 / $1,813.25	Facility		$368.48	$775.80	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $320.51 / $585.12 / $1,048.47	Professional		$320.51	$585.12	$1,048.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $563.10 / $1,055.90	Professional		$3.00	$563.10	$1,055.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.13 / $700.63 / $1,107.16	Professional		$391.13	$700.63	$1,107.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $323.39 / $380.50 / $828.20	Professional		$323.39	$380.50	$828.20